Research Article

Effect of Induced Membrane Formation Followed by Polymethylmethacrylate Implantation on Diabetic Foot Ulcer Healing When Revascularization Is Not Feasible

Table 1

Baseline demographics and clinical characteristics of the study population.

VariableConventional group ()PMMA group () value

Age (, years)0.656
Gender0.558
 Male14 (63.6%)20 (71.4%)
 Female8 (36.4%)8 (28.6%)
Type 2 DM20 (90.9%)24 (85.7%)0.683
DM duration (, months)0.822
DFU duration (, months)0.008
Wagner classification0.057
 Grade 313 (59.1%)9 (32.1%)
 Grade 49 (40.9%)19 (67.9%)
ABI ()0.620
Nonreconstructable reasons0.629
 Unpropitious vascular anatomy14 (63.6%)17 (60.7%)
 Calcific and fibrocalcific disease5 (22.7%)9 (32.1%)
 Patient refusal3 (13.6%)2 (7.1%)
BMI (, kg/m2)0.391
Smoking7 (31.8%)17 (60.7%)0.042
Alcohol abuse7 (31.8%)11 (39.3%)0.585
Follow-up (, months)0.575
Laboratory findings ()
 Glycemia (% (mmol/L))0.781
 HbA1C (% (mmol/mol))0.449
 WBC (×109/L)0.467
 CRP (μmol/L)0.639
 ESR (mm/hr)0.518
 Albumin (g/L)0.687
Comorbidities
 Hypertension13 (59.1%)21 (75.0%)0.231
 Ischemic heart disease9 (40.9%)14 (50.0%)0.522
 Peripheral neuropathy20 (90.9%)23 (82.1%)0.444
 Nephropathy13 (59.1%)15 (53.6%)0.696
 Retinopathy10 (45.5%)16 (57.1%)0.412

PMMA: polymethylmethacrylate; DM: diabetes mellitus; DFU: diabetic foot ulcer; ABI: ankle-brachial index; BMI: body mass index; WBC: white blood cell; CRP: C-reactive protein; ESR: erythrocyte sedimentation rate. Values are (%) unless otherwise noted. Boldface indicated statistically significant difference.